Phoenix Bar Job Application

    First Name
    Last Name
    Your Email
    Job Applied For
    Date of Application
    Street Address
    City/State
    Zip Code
    Home Phone
    Mobile Phone
    Date you will be available for work?
    Drivers License Number & State Issued
    If you are under 18, can you furnish a work permit?
    yesno
    Have you ever been employed here before?
    yesno
    Can you meet attendance requirements of the position?
    yesno
    Are you legally eligible to work in this country? (Proof of US Citizenship or immigration status will be required upon employment)
    yesno
    Type of employment desired? Full TimePart TimeTemporarySeasonalEducational/Co-Op
    Have you been convicted of a felony in the past 7 years? yesno
    (Such a conviction may be relevant if job related, but does not bar you from employment. The inquiry as to whether you have been convicted of a crime does not require you to disclose, verbally or in writing, any record of a conviction or arrest that has been expunged or sealed.)

    If you answered yes, please explain.

    Employment History

    List your last 4 employers or volunteer activities. Start with the most recent, include any military experience.

    Reference 1

    Name of Employer
    Contact phone number
    Your immediate supervisor
    City/State
    Date Worked From:
    Date Worked To:
    Job title or position
    Salary when you left?
    Short description of your responsibilities

    Reference 2

    Name of Employer
    Contact phone number
    Your immediate supervisor
    City/State
    Date Worked From:
    Date Worked To:
    Job title or position
    Salary when you left?
    Short description of your responsibilities

    Reference 3

    Name of Employer
    Contact phone number
    Your immediate supervisor
    City/State
    Date Worked From:
    Date Worked To:
    Job title or position
    Salary when you left?
    Short description of your responsibilities

    Reference 4

    Name of Employer
    Contact phone number
    Your immediate supervisor
    City/State
    Date Worked From:
    Date Worked To:
    Job title or position
    Salary when you left?
    Short description of your responsibilities
    [recaptcha]